Licensing and Standards Division Please visit our …

1 _____ More than three (3) traffic accidents within a single year. The one (1) year ban will start from the date of the last accident. The traffic infraction of unlicensed operation of a motor vehicle. A prior TLC application was denied because the applicant was found not fit to hold a license. The one (1) year ban will start from thedate the prior application was denied. Illegal Use of Drugs- determined by a positive result on a drug test required by the TLC and where the drug test result was unchallenged or unsuccessfully challenged. The one (1) year ban will start from the date of the failed drug (1) Year Ban - (if during the previous year)Any act constituting for-hire operation of a motor vehicle without a valid TLC License, except for the traffic infraction of unlicensed operation.

2 Conviction of six (6) or more TLC Rule violations while holding any license or licenses issued by the Commission. The two (2) year ban willstartfrom the date of the last act, as prohibited by TLC Rules, of driving a TLC licensed vehicle while impaired by intoxicating liquor (regardless of its alcoholic content) act, as prohibited by TLC Rules, of bribery, fraud, material misrepresentation, theft, threat against a person, harassment, abuse, or use ofphysical act, as prohibited by TLC Rules, involving possession of a weapon in a vehicle licensed by TLC. Recently the TLC made some Rule changes to the license application process.

3 The new Rules include a one (1), two (2)and three(3)year application ban depending on an applicant s TLC and DMV history. Please note that it is the applicant s responsibility to review their application for any bans. If TLC staff either could not or failed to determine that an application should be rejected upon submission, the license application fees will not be refunded. An applicant should notsubmit an application if the applicant s TLC or DMV history matches the descriptions listed below. New Fitness Rules (2) Year Ban - (if during the previous two years)Three (3) Year Ban - (If during the previous three years) Revocation of a prior license.

4 If your license was revoked, the three (3) year ban will start from the date of the while license revocation charges were a prior license was surrendered before the expiration date, the three (3) year banwill start from the date it was expiration while license revocation charges were a prior license expired while license revocation charges were pending, the three (3) year ban will start from the date the license expired. NEW FITNESS RULES NOTICEPLEASE READ CAREFULLY BEFORE YOU HAND IN YOUR APPLICATIONAn Application Can Also Be Denied for the Following Reasons:Mistake or Omission in the application. If the application includes any material mistake or omission, or if the applicant fails to inform the Chairperson of any material change in the application.

5 Critical Driver Program: If you have accumulated 6 or more points within 15 months prior to and including your most recent DMV point violation, you would, if licensed, be subject to license suspension or revocation under the Critical Driver Program; therefore, your application will be denied. Pendency of Criminal Charges. The Chairperson will defer consideration of an application if the applicant has criminal charges pending. If the charges are not resolved within 90 days after the submission of the application, the application will be denied. ** PRINT NAME: _____ SIGN NAME: _____ DATE: _____/_____/_____Licensing and Standards Division32-02 Queens BoulevardLong Island City, NY 11101-2324 Please visit our website for Staten Island office information+1 718 391 5501tel, I hereby affirm, under penalty of law, that I have examined and reviewed the information in the submitted form(s) or application(s), checklist(s), instruction guide(s), including any supplemental form(s) and/ or document(s) and that these document(s) and or statement(s) do not contain any untrue statement(s) nor are they missing any material information and/ or fact(s).

6 I also acknowledge and understand that any false statement(s) submitted is punishable under the law and may result in a denial of an application or the suspension or revocation of an existing license/permit.